Care Home: Arundel Park Lodge

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What the care home does well The service provides nursing and personal care for up to thirty older people. The home provides a good standard of care and is recognised within the local community. It is served by a local GP practice and is proactive in accessing General Practitioners and other health care professionals as residents require these. The home is clean and comfortable and most of the accommodation is in single rooms, the two double rooms used to accommodate friends or couples. All staff have received training in infection control and a specific member of staff is responsible for liaising with the Health Protection Agency and ensuring the home`s policies relating to the control of infection are up to date and reflect recent research. Residents spoken with said the food was good, that they had choices at each meal and that snacks and drinks were always available. Residents also said that they could make choices about how they wish to spend their days and that they could choose their times of rising and retiring. A range of leisure activities are provided for residents and these include some outings, parties and an arts group. The atmosphere in the home is good, with residents and staff saying that management are always approachable and helpful. There is a new manager in post, the provider and governance manager are providing a good support network to enable her to consolidate and become embedded in her role. Comments from residents and staff included: " This is a lovely home,I am very happy here and looked after so well, staff are excellent, so kind and polite and they bring you a cup of tea whenever you want one". " No complaints about this home at all, they provide good food and there are activities we can take part in , we have parties and outings, the views across the bay are lovely and the gardens are exquisite" " I really enjoy working here, management expect excellence but are very approachable and helpful". What has improved since the last inspection? The home has continued to look at ways at improving the services it offers to the residents and to ensure the standard of care is maintained. Care plans are currently in the process of review in order to ensure that they are sufficiently personalised to reflect residents preferences in the care given. Staff continue to attend ongoing training, and whilst some of the long standing staff have now left, some to pursue nursing careers, the home is in the process of recruiting more staff who commence the National Vocational Qualification in Care following employment. What the care home could do better: There were no requirements made at this report as the manager and provider gave assurances that recommendations made to help improve services would be followed. The provider should ensure that staffing levels reflect the changing needs of the residents and that sufficient staff are employed to enable the manager to consolidate her role. Key inspection report Care homes for older people Name: Address: Arundel Park Lodge 22-24 Arundel Drive East Saltdean Brighton E Sussex BN2 8SL     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Elizabeth Dudley     Date: 2 7 0 4 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 29 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Arundel Park Lodge 22-24 Arundel Drive East Saltdean Brighton E Sussex BN2 8SL 01273303449 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Whytecliffe Limited Name of registered manager (if applicable) Type of registration: Number of places registered: care home 30 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommmodated is: 30 The registered person may provide the following category/ies of service only: Care home with nursing (N) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Arundel Park Lodge is registered as a care home with nursing. It has accommodation for 30 service users, and can admit service users with either personal care or nursing needs. Initially the home was registered for residential care only, but was then refurbished and extended to provide a nursing facility. Mrs Redwood, the home owner Care Homes for Older People Page 4 of 29 Over 65 30 0 0 7 1 1 2 0 0 6 Brief description of the care home and manager, is also a registered nurse. The home is situated in a pleasant residential area with views over Saltdean and the sea. It provides accommodation in the form of 25 single bedrooms and 2 double rooms, 21 of the single bedrooms and both double rooms having ensuite facilities. Communal facilities consist of 2 dining rooms and 2 lounge areas, and these are separated for nursing and residential service users, although they may use either. There are pleasant well maintained gardens and these are accessible to wheelchair users. Saltdean is on a main bus route and there is ample, unrestricted parking on roads around the home. The Current fees charged range between £450 and £750 per week Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This key unannounced inspection was undertaken on 27th April 2010 and was facilitated by the appointed manager and the registered provider. The home has recently been re- registered with the Care Quality Commission due to a technicality regarding company details, therefore this inspection is the first inspection on this new registration. There have been no changes in the home regarding provider or management that will effect the running of the home or the facilities for the people that live there. Prior to the inspection Care Quality Commission sent out ten surveys to residents and ten to staff, of which five were received from residents and two from staff. Comments received were generally positive. The Annual Quality Assurance Assessment (AQAA), a document required by legislation Care Homes for Older People Page 6 of 29 in which the provider or manager tell us about what has been achieved in the home, improvements made and plans for the next twelve months. was received when we asked for it and accurately reflected what was occurring in the home. Methods used to inform the judgements made in this report included examination of documentation, involvement and discussion with residents, staff and visitors, observation of staff working and serving of meals and a visit to all parts of the home. Documentation examined included health and safety records, care plans, medication records, personnel and training files and any other documents either required by regulation, or necessary for the smooth running of the home. During the day, all residents were seen, but views on the life in the home were gained from six residents, three visitors and six members of staff. Residents, staff, visitors and management are thanked for their help and courtesy during this day. Care Homes for Older People Page 7 of 29 What the care home does well: What has improved since the last inspection? The home has continued to look at ways at improving the services it offers to the residents and to ensure the standard of care is maintained. Care plans are currently in the process of review in order to ensure that they are sufficiently personalised to reflect residents preferences in the care given. Staff continue to attend ongoing training, and whilst some of the long standing staff have now left, some to pursue nursing careers, the home is in the process of recruiting Care Homes for Older People Page 8 of 29 more staff who commence the National Vocational Qualification in Care following employment. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 29 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents receive sufficient information to enable them to make the decision over whether they wish to live at the home. No resident is admitted to the home before they have been fully assessed by the manager or her representative to ensure that the home can meet their needs. Evidence: The home provides a Statement of Purpose and Service User Guide, these are displayed in the entrance hall and each resident receives a copy of the Service User Guide. All prospective residents are assessed by the manager prior to being admitted to the home to ensure that the home can meet their needs, and the home sends written confirmation to the individual of whether their needs can be met. Care Homes for Older People Page 11 of 29 Evidence: Prospective residents or their representatives are able to visit the home prior to making the decision over whether they wish to live there. Every resident, irrespective of their funding arrangements receives a statement of the Terms and Conditions of Residence following their admission to the home. Recently admitted residents spoken with confirmed that their experiences of the admission process were good. The manager came to see me and told me all about the home and brought me information to read in my own time. Preadmission assessments were comprehensive and detailed the personal, health, social and psychological care required by the resident; these formed the basis of the care plan. The home admits residents for permanent and respite care but not for intermediate or transitional care. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The standard of care planning in the home ensures that staff are aware of the actions to take to ensure that residents health and personal care needs are met. Staff were observed attending to residents in a manner which maintained their privacy and dignity and met their expectations. Evidence: Four care plans, two from the residential unit and two from the nursing unit were examined in order to determine the quality of the care being given to residents. All care plans viewed were comprehensive, detailing the residents personal and health care needs, showed evidence of review and in the majority of cases, where possible, showed that care plans had been formed and reviewed in consultation with the resident and their representative. All care plans included general needs assessments and how needs relating to the specific individual would be met i.e continence and skin integrity care plans. Daily records showed that care had been given as directed by the care plans. Care Homes for Older People Page 13 of 29 Evidence: The manager is in the process of reformatting care plans to ensure that care is planned and undertaken in a personalised manner which is directed by residents personal preferences. Night care plans are in the process of being formed which will clearly show the care to be given at night and include the residents preferred times of rising and retiring. This information is in the general care planning but adding them to night care plans will ensure that all night staff are aware of this. Residents being nursed in bed appeared comfortable and were satisfied with the care that they received. Records of nursing interventions in rooms were up to date and included the recording of pressure mattress pressures with evidence that they were being monitored on a regular basis. Fluid and turn charts were up to date, but it was noted that records of fluid intake and output were not always being transferred to the care plans on a regular basis in order to provide nursing staff with the information for any actions required. The manager gave assurances that this would be addressed. Staff were observed attending to the daily routines of the residents and this was taking place in a manner which maintained the dignity and the privacy of the resident. Comments from residents included: There are high standards in every aspect of care which are always maintained. The home looks after us well. We are looked after exceptionally well, they could not do more for us, everyone without exception is very nice and kind. One visitor spoken with was not completely satisfied with the care a resident had received but discussion with other visitors and residents showed that they were Very satisfied. Observations on the day and discussion with residents showed that call bells were answered promptly. The standard of medication administration, recording and storage generally safeguarded the resident. It was noted that some medications had not been signed on administration and the Care Homes for Older People Page 14 of 29 Evidence: manager must ensure that nurses are aware of their responsibilities to the residents and the home. The manager and provider gave assurances that this will be addressed. Subsequent to the inspection the commission was informed that this had been addressed with staff and rectified and audits would be taking place more frequently. The manager is in the process of reviewing the care plans for administering As required medication. There was evidence that the administration, recording and storage of controlled drugs complied with regulation. Whilst the home continues to use end of life care planning and records residents wishes for their preferred place for end of life care and any intervention, staff are not currently undertaking training for the use of the Liverpool Care Pathway and Gold Standards Framework, (recognised nursing tools for ensuring that end of life care and pain control reach national guidelines) although some staff still retain these skills. The manager said that the home intends to recommence this when places on the course is available and this would be expected in order to ensure that residents who are reaching the end of their lives have the benefit of up to date researched care . There was evidence seen in the home that relatives of residents who had received care in the home at the end of their lives, were pleased with the care given and the help given to them by the staff. Care Homes for Older People Page 15 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is range of leisure activities provided but there is scope to increase the frequency in which these are offered to residents and to ensure more residents are involved. Meals are generally well presented and the quantity and quality of the food meets residents expectations. Evidence: A new activities coordinator has recently been appointed who provides activities for 18 hours a week, both the activities programme and discussion with staff and residents showed that leisure activities included some outings, an art group, visiting singers and musicians, scrabble, reminiscence, garden fetes and strawberry cream teas in the summer. Records are kept of those residents who participate and it was recommended to the manager that these be included in the individuals social care plan. The homes AQAA (Annual Quality Assurance Assessment) told us that a monthly news letter has been commenced. Care Homes for Older People Page 16 of 29 Evidence: On this specific day the activities co-ordinator was not in the home therefore no activities were taking place. As leisure activities and stimulation form a very important part of holistic care, it was recommended that the care staff receive some training in the provision of activities so that these can be provided on a more regular basis Comments received from residents included: Well organised activities. Always notify us of any events taking place i.e. outings and fetes in the garden. We had an Easter party, we have birthday parties and other parties too, we are very well sorted here. Residents spoken with confirmed that they had full choices in the activities of daily living including how they wished to plan their daily routines. Visitors are welcomed at any time and links are maintained with local schools and some pupils write and visit residents on a regular basis. Ministers of religion visit the home, both on a one to one basis and to conduct services which are held fortnightly in the home. The home provides a varied and seasonal menu which provides choices at all meals. The majority of residents said that they enjoyed the meals and could have a cooked breakfast if they wished. Food was generally well presented and in good quantities. Discussions were held with the provider and manager regarding the provision of well laid up trays for residents eating their meals on the tables by their chairs in the lounge and also on providing individual pots of tea for residents taking tea in their rooms who were able to manage this. Residents preferences about the strength of tea and coffee must be taken into consideration. One resident said that the tea was often very weak, and unless you call the staff back you dont get the chance of a second cup. Staff were seen assisting residents with meals in an empathetic and discreet manner and discussions were held with the manager over the provision of more discreet clothes protectors to maintain the dignity of residents. Care Homes for Older People Page 17 of 29 Evidence: On this specific day the cake offered appeared to be the same as the sponge pudding offered at lunch, although the manager gave assurances that generally cakes were freshly made for tea time. Concerns were raised with the provider about cooked food being left to cool without being covered. The catering staff, with the exception of one new member of staff, have the appropriate qualifications to ensure that food is prepared in a hygienic manner and the home received 4 stars in the Environmental Health Authoritys Scores on Doors initiative. Care Homes for Older People Page 18 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints and concerns are investigated in an open and robust manner with appropriate actions taken to avoid recurrence. All staff employed at the home receive adult safeguarding training and were aware of their responsibilities towards those in their care. Evidence: The home has a complaints policy which is displayed in the entrance hall and included in the Service Users Guide. All residents spoken with were aware of how to make a complaint and were comfortable that their complaint would be taken seriously and addressed in an open and transparent manner. This is the first inspection of this home since it became newly registered, as the change of registration was due to technicalities only, past complaints were examined. There have been no complaints since the new registration of the home and six minor complaints in the past twelve months. These were seen to have been addressed in an open and fair manner. It was recommended to the manager that records are kept of minor concerns raised and the records include the manner in which these were addressed. There has been one adult safeguarding issue since the last inspection, this was raised Care Homes for Older People Page 19 of 29 Evidence: by the home and did not involve any staff in the home. Records showed that all categories of staff have received adult safeguarding training and care staff spoken with were aware of the actions to take should they suspect an adult safeguarding issue. Care Homes for Older People Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Arundel Park Lodge provides a comfortable, well maintained, and clean home for residents to enjoy. Evidence: Arundel Park Lodge is a comfortable and well maintained home. It offers communal accommodation in the form of two lounges, a dining room and small seating area on the first floor and has well maintained and accessible gardens to the front and rear of the house. Residents accommodation comprises purpose built nursing rooms on the one side of the home and the original rooms used as accommodation for more able residents who require personal care in the older part of the home. Residents can bring their own possessions in if they wish to make their rooms more homely and each room is provided with a call bell and lockable facility. All rooms have views of the sea or the gardens. Some rooms, including all nursing rooms have an en suite facility and assisted bathing facilities are provided throughout the home. Window restrictors were in place throughout the home and were patent, and hot water Care Homes for Older People Page 21 of 29 Evidence: temperatures to resident outlets are monitored. Records showed that these were within recommended parameters. All parts of the home were clean and although there was evidence of odour on the back stairway, this was due to the siting of a clinical waste and laundry bin, the provider is in the process of addressing this. There were supplies of hand gel, aprons and gloves throughout the home and staff were seen using these appropriately. One member of staff is the infection control champion ( a member of staff who has undertaken specific training and liaises with the Health Protection Agency on a regular basis to ensure that the practices and policies within the home are in line with national guidelines to minimise infection). All members of staff have received infection control training. There is sufficient equipment in the home to ensure that residents are able to maximise their independence and to ensure the safety of staff. Care Homes for Older People Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Whilst there are generally sufficient staff on duty to meet the needs of the residents in the home, this often includes the use of the manager and the governance manager to ensure residents needs are met. Few care staff currently have the National Vocational Qualification in Care and further staff are now in the process of studying for this qualification Evidence: A number of staff have left the home over the past year and therefore the manager is in the process of recruiting more care staff. Staff and residents said that very occasionally they were short of staff and one visitor to the home described the home as working on a skeleton staff at times although the duty rota and discussions with staff showed that the home was only ever down by one staff member, and where possible this was replaced with agency staff. However it was evident that the manager generally has to be the second registered nurse on duty during the morning and the governance manager also has to do care when staff are absent. These duties take time away from the duties for which they are employed. Care Homes for Older People Page 23 of 29 Evidence: The manager gave assurances that this would be addressed. Staff receive induction training on commencement of employment. The induction course used in the home is compliant with recommendations in the National Minimum Standards. Currently only three members of staff have the National Vocational Qualification at level 2 or 3 in Care. More staff are currently in the process of studying for this. Ongoing training is made available to staff, this includes registered nurses who have the opportunity to update and expand their skills. The home is not currently mentoring any student nurses from the local university. There was evidence in the home that robust recruitment systems were in place with personnel files showing that all documentation required by regulation was in place prior to the person commencing work at the home. Care Homes for Older People Page 24 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager and providers are proactive in recognising elements which may put residents at risk of harm and regular risk assessment takes place. The atmosphere in the home is friendly with staff, residents and visitors finding management approachable and willing to listen. Evidence: The manager, who is an RGN (level 1) commenced in post in January 2010, and prior to that had been working in the home. She is in the process of registering with the commission and has applied to undertaken the Leadership and Management Course. She is also in the process of applying for training in the Mental Capacity Act and Deprivation of Liberty Safeguarding. The provider is proactive in the running of the home and the company employs a governance manager, also active in the running of the home, and assisting the manager in consolidating her role. Care Homes for Older People Page 25 of 29 Evidence: It was observed on the day that staff, residents and visitors had a good relationship with both the manager and providers and that the provider was knowledgeable about all the residents in the home and their current needs. The atmosphere in the home was relaxed and friendly with staff describing it as a friendly place to work and Continuing to insist on good standards of care whilst maintaining a homely and friendly atmosphere. The Annual Quality Assurance Assessment (AQAA) was received when we asked for it and accurately described what was happening in the home, the achievements and shortfalls over the past year and plans for the next year. The home undertakes its own quality monitoring audits with questionnaires being given out to residents, relatives and health and social care professionals. Regular audits take place throughout the home which look at the environment, records and other areas essential to the smooth running of the home. Staff meetings take place on a regular basis but the manager said that there have been no recent residents meetings although she intends to recommence these soon. Regulation 26 visits ( monthly visits by the provider or their representative required by regulation) are taking place and issues identified are addressed. Staff are receiving formal supervision mostly at intervals prescribed by the National Minimum Standards. The home does not deal with residents finances. All accidents and incidents are reported and the home keeps the commission informed of any serious accidents or incidents taking place. All utilities and equipment in the home have been regularly serviced and all staff have undertaken mandatory training. The manager and provider showed that they were aware of any risks to the residents in the environment and regularly risk assess the home in general and each room. A fire risk assessment is in place and regular fire training and checks of equipment take place. Care Homes for Older People Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 28 of 29 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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